AMA BAND ORDER

Name: ____________________________________________________

Address: __________________________________________________

City: _____________________ State: _____ Zip: __________________

Phone: ________ E-mail Address ______________________________

Bands Cost: 40 cents each.. Sold in multiples of 25, 50, 75, 100 etc.
25 bands are: $10.00 + postage; 50 bands are: $20.00 + postage;
75 bands are: $30.00 + postage; 100 bands are: $40.00 + postage;
$6.00 for postage on band orders shipped within USA

Make check or money order to Sue Melrose.
Mail your remittance to:
American Mookee Association

Secretery / Treasurer
Sue Melrose
279 Corneil Rd
Imlay City, MI 48444

810-310-2581
sbecker@tir.com

 
American Mookee Association
APPLICATION FOR MEMBERSHIP or RENEWAL

(__) Individual - Adult: $10.00 per year
(__) Family: $15.00 per year
(__) Junior (upd to 18 years old): $5.00 per year

Name: ____________________________________________________

Address: __________________________________________________

City: _____________________ State: _____ Zip: __________________

Phone: ________ E-mail Address ______________________________

(__) New Member    (__) Renewal

Family Members: ___________________________________________